The S4OM REP Organization Application is for educational entities seeking initial approval or renewal for an oncology massage therapy Foundational Course.

Applications are approved for a 3-year term.

Please read the instructions carefully. The application will be returned if it is incomplete, missing attachments, or incorrectly named. These instructions are also available as a PDF.

Please retain copies of your completed application and supporting documentation.

If you offer this course in multiple formats (e.g., in-person, virtual, hybrid), only ONE REP Org application is needed IF all of the following are identical across formats:

1. Course title
2. Content/curriculum
3. Number of CE hours

Delivery Format Descriptions:

• In-person: entire course conducted in-person
• Virtual: entire course conducted online. The Education Standards state that live/synchronous supervision is required for Clinical Learning Activities (CLA). Some course content and instruction may be delivered asynchronously.
• Hybrid: a combination of in-person and virtual learning (includes home study or pre-class work) If you have questions about the application, please direct them to the Application Review Team (ART)

PROCESS

• Review the Education Standards for S4OM Foundational Courses and ensure your curriculum meets these
• Establish a Contact Person (CP) within your organization who will be responsible for completing and submitting the application and communicating with the Education Committee about the application
• The CP agrees to:
  • Review the application to ensure all is accurate and complete
  • Ensure all supporting documents are attached and properly labeled
  • Ensure all instructors are current Preferred Practitioners (PP)
  • Ensure all instructors receive and complete an Instructor Application
  • Respond to communications from S4OM about application status
  • Communicate with S4OM about significant REP Org changes, such as:
    • Instructor additions or deletions
    • Foundational Course title changes
    • REP Organization name changes
    • Significant changes to curriculum, class format, or delivery
  • Communicate with S4OM about the renewal process

CHECKLIST FOR REQUIRED SUPPORTING DOCUMENTATION

SECTION 2

2.2 School Leadership Responsible for Oncology Massage Therapy Curriculum

❏ Instructor Applications for each instructor

❏ Teaching Experience documents for each instructor if Initial Instructor Application

How to name your document:

Format: REP Org name – Year – Document title – Instructor last name Example: CenterforMassageTraining-2021-InstructorApp-Smith

SECTION 3

3.2 Instructor Information

❏ Instructor Applications for each instructor

❏ Teaching Experience documents for each instructor if Initial Instructor Application

How to name your document:

Format: REP Org name – Year – Document title – Instructor last name Example: CenterforMassageTraining-2021-InstructorApp-Smith

SECTION 4

4.3 Learning Outcomes – see this hyperlink for more information about 3 and 4.4

4.4 CLA Assessment Attach any supporting documents or material as applicable.

❏ Assessment 1: Hands-on skills

❏ Assessment 2: Client communication skills

❏ Assessment 3: Development of massage therapy treatment plan

❏ Assessment 4: Comprehensive Practical

How to name your document:

Format: REP Org name -Year -Document title

Example: CenterforMassageTraining-2021-assessment1tool1

4.5  Detailed outline of program

• Attach a detailed outline/syllabus of the program broken down by day and hour. Indicate lectures, demonstrations, CLA, Comprehensive Practical, etc. If you have virtual components indicate which parts are synchronous and If the course is offered in multiple formats, please include an outline for each format.

How to name your document:

Format: REP Org name – Year – Document title Example: CenterforMassageTraining-2021-courseoutline

SECTION 5

5.1 Organizational approval/accreditation as a massage therapy education provider

• Current approval/accreditation(s)

How to name your document:

Format: REP Org name – Year – Document title

Example: CenterforMassageTraining-2021-NCBTMBapproval

5.2 Course completion

• Blank copy of certificate/diploma

How to name your document:

Format: REP Org name – Year – Document title

Example: CenterforMassageTraining-2021-certifcateofcompletion

FOLLOW UP AFTER APPLICATION SUBMISSION

1. Confirmation of receipt of the application will be sent to the CP email address provided in this
2. The Application Review Team (ART) will review the application and communicate with the CP regarding status and/or any required actions.
3. Once approved, the CP will receive an email outlining the next steps